Its called "Definitive Resedencia" for 10 years. You must have 10 years combined between temp and perm. I was 1 year short 4 years ago. I just finished doing the "definitive" 10 year process for two good friends of mine. Neither one was required to ask in person. All online and no medical. No problems. I just started my own definitive a week ago. Cost is 20k pesos each. Uploads include Good Conduct, Passport, Cedula (front and back), Residencia (front and back) and photos, Front and side view. I expect notification to pay online any day (with no medical) and a date to show up at the Capital!! If you cannot make the scheduled date, CA-CHING! 1K pesos to reschedule. Aaarrrrgggghhhh!! As ALWAYS....you mileage may vary! I'll let you know how the process goes.